Feeling wiped out is one of the most common complaints in perimenopause and menopause. It is not laziness, and it is not you “getting older and needing to accept it.” Hormone changes, especially the swings in estrogen and progesterone during perimenopause, can disrupt sleep, stress hormones, and how your cells make and use energy.
Fragmented sleep from night sweats, anxiety, or 3 a.m. wide-awake brain, so you never actually get deep, restorative sleep.
Low iron, low B12, or low vitamin D, all of which can leave you feeling weak, heavy, and drained even if the basic labs you were told were “fine” don’t tell the full story. Heavy or irregular periods in perimenopause can make iron and ferritin drop. Long-term stress can also deplete nutrients.
Thyroid changes that are technically “in range” but not optimal for you.
The chronic load you carry: work, home, caregiving, and invisible logistics.
We look at sleep quality, stress patterns, nutrition, thyroid function, iron stores, B12, and vitamin D. We also talk about realistic nervous system recovery, not just “self-care.” The point is to fix what’s draining you, not blame you for being tired.
Compassionate, evidence-based hormone health care for women, delivered through secure telemedicine.
